| Code | Description | Claims | Beneficiaries | Total Paid |
| 99281 |
|
59,177 |
54,082 |
$4.36M |
| 97110 |
|
25,902 |
7,867 |
$1.12M |
| 72148 |
|
906 |
816 |
$632K |
| 74177 |
|
2,177 |
2,046 |
$612K |
| 97140 |
|
11,243 |
4,028 |
$519K |
| 87635 |
|
10,485 |
10,018 |
$507K |
| 99213 |
|
4,401 |
2,640 |
$478K |
| 70450 |
|
2,157 |
1,951 |
$476K |
| 77067 |
|
3,247 |
3,223 |
$458K |
| 96374 |
|
4,192 |
3,977 |
$359K |
| 80053 |
|
31,209 |
29,470 |
$323K |
| 85025 |
|
35,318 |
32,805 |
$268K |
| 93005 |
|
6,663 |
6,288 |
$244K |
| 80061 |
|
17,310 |
17,231 |
$238K |
| 84443 |
|
13,601 |
13,460 |
$232K |
| 76700 |
|
2,104 |
2,018 |
$212K |
| 97112 |
|
8,316 |
3,426 |
$211K |
| 76705 |
|
2,733 |
2,602 |
$206K |
| 99243 |
|
2,682 |
2,677 |
$200K |
| 76811 |
|
1,770 |
1,716 |
$199K |
| 83036 |
|
17,090 |
17,049 |
$168K |
| 97530 |
|
8,098 |
3,271 |
$166K |
| 73721 |
|
280 |
245 |
$163K |
| 87491 |
|
4,356 |
4,283 |
$163K |
| 76830 |
|
1,768 |
1,745 |
$153K |
| 96375 |
|
2,712 |
2,529 |
$148K |
| 96361 |
|
3,555 |
3,349 |
$142K |
| 96360 |
|
1,468 |
1,443 |
$137K |
| 76856 |
|
1,563 |
1,548 |
$137K |
| 97014 |
|
7,523 |
2,938 |
$133K |
| 80307 |
|
2,286 |
2,204 |
$133K |
| 96365 |
|
1,174 |
1,138 |
$129K |
| 71046 |
|
5,131 |
4,864 |
$127K |
| 87591 |
|
3,820 |
3,757 |
$111K |
| 74176 |
|
658 |
591 |
$91K |
| 92507 |
|
1,442 |
604 |
$77K |
| T1999 |
Noc retail items andsupplies |
49,685 |
30,490 |
$77K |
| 76801 |
|
1,023 |
970 |
$77K |
| 86480 |
|
1,498 |
1,464 |
$75K |
| 82306 |
|
6,660 |
6,630 |
$75K |
| 94640 |
|
1,965 |
1,663 |
$71K |
| 87088 |
|
8,307 |
7,941 |
$65K |
| Z7502 |
|
1,774 |
1,692 |
$65K |
| G0480 |
Drug test def 1-7 classes |
935 |
914 |
$57K |
| 84439 |
|
6,298 |
6,247 |
$57K |
| 76770 |
|
551 |
512 |
$54K |
| 72141 |
|
85 |
78 |
$53K |
| 73562 |
|
1,724 |
1,482 |
$53K |
| 86703 |
|
3,352 |
3,332 |
$47K |
| 76816 |
|
624 |
604 |
$46K |
| 71045 |
|
3,815 |
3,333 |
$44K |
| 97799 |
|
1,233 |
413 |
$44K |
| 81001 |
|
14,184 |
13,426 |
$44K |
| 73630 |
|
1,208 |
1,051 |
$41K |
| 83690 |
|
6,453 |
6,139 |
$41K |
| 80048 |
|
4,911 |
4,640 |
$39K |
| 86403 |
|
3,075 |
3,042 |
$37K |
| J7040 |
Normal saline solution infus |
5,753 |
4,567 |
$36K |
| 72100 |
|
898 |
845 |
$36K |
| 87400 |
|
6,531 |
5,256 |
$36K |
| 73610 |
|
1,000 |
932 |
$36K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,972 |
2,920 |
$35K |
| 76815 |
|
431 |
330 |
$33K |
| 84484 |
|
3,659 |
3,375 |
$33K |
| 73030 |
|
827 |
733 |
$29K |
| 83013 |
|
468 |
466 |
$29K |
| C9803 |
Hopd covid-19 spec collect |
1,241 |
1,193 |
$28K |
| 87186 |
|
2,710 |
2,620 |
$28K |
| 82043 |
|
4,737 |
4,719 |
$27K |
| 83655 |
|
5,796 |
5,749 |
$25K |
| 82951 |
|
882 |
822 |
$25K |
| J0702 |
Betamethasone acet&sod phosp |
1,518 |
1,456 |
$24K |
| 80076 |
|
2,867 |
2,818 |
$23K |
| 87081 |
|
3,122 |
3,097 |
$23K |
| 64483 |
|
1,121 |
875 |
$22K |
| 73221 |
|
43 |
37 |
$22K |
| 83880 |
|
1,062 |
980 |
$21K |
| 82962 |
|
4,582 |
2,671 |
$20K |
| J1885 |
Ketorolac tromethamine inj |
3,677 |
3,362 |
$20K |
| 93306 |
|
101 |
101 |
$20K |
| 87040 |
|
1,747 |
1,325 |
$18K |
| 83735 |
|
2,880 |
2,598 |
$18K |
| 85027 |
|
2,682 |
2,633 |
$17K |
| 86140 |
|
3,313 |
3,202 |
$17K |
| 92523 |
|
82 |
82 |
$16K |
| 87420 |
|
1,044 |
1,029 |
$15K |
| 93000 |
|
281 |
263 |
$14K |
| 72072 |
|
288 |
279 |
$14K |
| 86592 |
|
3,419 |
3,396 |
$14K |
| 93010 |
|
1,006 |
953 |
$14K |
| 86803 |
|
1,713 |
1,710 |
$13K |
| 83605 |
|
1,485 |
1,360 |
$13K |
| 74018 |
|
486 |
466 |
$12K |
| 76642 |
|
150 |
126 |
$11K |
| 72083 |
|
147 |
142 |
$11K |
| 85610 |
|
2,565 |
2,179 |
$10K |
| 94664 |
|
410 |
410 |
$10K |
| 97150 |
|
1,746 |
722 |
$10K |
| 86787 |
|
1,006 |
1,001 |
$9K |
| 76536 |
|
116 |
111 |
$9K |
| 73130 |
|
247 |
216 |
$9K |
| 86850 |
|
906 |
890 |
$9K |
| 86762 |
|
613 |
608 |
$9K |
| 72040 |
|
225 |
220 |
$9K |
| 85651 |
|
2,059 |
2,023 |
$8K |
| J2405 |
Ondansetron hcl injection |
3,071 |
2,860 |
$8K |
| 76817 |
|
98 |
86 |
$8K |
| 72125 |
|
31 |
25 |
$7K |
| 82150 |
|
1,034 |
1,007 |
$7K |
| 80055 |
|
122 |
119 |
$7K |
| 93971 |
|
48 |
38 |
$7K |
| 84702 |
|
482 |
411 |
$7K |
| J2270 |
Morphine sulfate injection |
1,257 |
1,147 |
$7K |
| 81025 |
|
1,150 |
1,102 |
$7K |
| 73560 |
|
269 |
250 |
$6K |
| 84703 |
|
874 |
860 |
$6K |
| 83550 |
|
800 |
793 |
$6K |
| Z7610 |
|
981 |
650 |
$6K |
| 82728 |
|
954 |
944 |
$6K |
| 73110 |
|
167 |
155 |
$6K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,562 |
1,502 |
$5K |
| 82105 |
|
288 |
279 |
$5K |
| 86901 |
|
1,681 |
1,621 |
$5K |
| 86900 |
|
1,636 |
1,583 |
$5K |
| 85730 |
|
884 |
853 |
$5K |
| 84442 |
|
323 |
320 |
$5K |
| 82570 |
|
891 |
867 |
$4K |
| 82248 |
|
869 |
852 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
1,189 |
1,112 |
$4K |
| 97116 |
|
284 |
160 |
$4K |
| 76641 |
|
47 |
44 |
$4K |
| 97535 |
|
148 |
72 |
$4K |
| 99152 |
|
147 |
145 |
$4K |
| 97165 |
|
42 |
42 |
$4K |
| 59020 |
|
55 |
15 |
$4K |
| 73080 |
|
108 |
97 |
$4K |
| 72110 |
|
63 |
63 |
$4K |
| J1170 |
Hydromorphone injection |
563 |
510 |
$4K |
| 85007 |
|
761 |
745 |
$4K |
| 80074 |
|
171 |
171 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,184 |
1,134 |
$3K |
| 77065 |
Tomosynthesis, mammo |
24 |
24 |
$3K |
| 86038 |
|
532 |
530 |
$3K |
| 83540 |
|
999 |
986 |
$3K |
| 85379 |
|
316 |
310 |
$3K |
| 73140 |
|
116 |
110 |
$3K |
| 77080 |
|
60 |
55 |
$3K |
| 87077 |
|
374 |
361 |
$2K |
| 84100 |
|
527 |
471 |
$2K |
| 82550 |
|
375 |
352 |
$2K |
| 62321 |
|
13 |
13 |
$2K |
| 84550 |
|
451 |
440 |
$2K |
| 80069 |
|
233 |
212 |
$2K |
| 73502 |
|
55 |
53 |
$2K |
| 84479 |
|
321 |
319 |
$2K |
| 86430 |
|
334 |
333 |
$2K |
| 84153 |
|
112 |
112 |
$2K |
| 84460 |
|
259 |
259 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
418 |
370 |
$2K |
| 72114 |
|
15 |
15 |
$1K |
| S0164 |
Injection pantroprazole |
155 |
146 |
$1K |
| 81220 |
|
13 |
13 |
$1K |
| 82274 |
|
94 |
94 |
$1K |
| 90715 |
|
37 |
37 |
$1K |
| 93308 |
|
12 |
12 |
$1K |
| 81000 |
|
263 |
187 |
$1K |
| 81003 |
|
449 |
443 |
$1K |
| 96379 |
|
4,518 |
2,404 |
$958.84 |
| 86735 |
|
71 |
71 |
$900.45 |
| 99153 |
Mod sedat endo service >5yrs |
117 |
115 |
$794.73 |
| 76970 |
|
14 |
14 |
$717.72 |
| 74019 |
|
24 |
24 |
$694.83 |
| 87798 |
|
15 |
15 |
$655.05 |
| 87522 |
Neg quan hep c or qual rna |
14 |
14 |
$599.76 |
| 82947 |
|
129 |
129 |
$586.28 |
| J7030 |
Normal saline solution infus |
294 |
253 |
$548.93 |
| 97016 |
|
240 |
80 |
$547.73 |
| 76882 |
|
35 |
29 |
$539.08 |
| 73020 |
|
24 |
24 |
$474.05 |
| 83525 |
|
111 |
111 |
$461.71 |
| 62320 |
|
15 |
12 |
$428.40 |
| 73590 |
|
14 |
13 |
$428.22 |
| 84436 |
|
57 |
57 |
$414.10 |
| 73620 |
|
12 |
12 |
$411.40 |
| 87045 |
|
37 |
37 |
$411.25 |
| 64484 |
|
64 |
50 |
$408.09 |
| 76000 |
|
14 |
14 |
$391.04 |
| 84156 |
|
120 |
115 |
$380.38 |
| 96372 |
|
50 |
41 |
$347.52 |
| 82247 |
|
55 |
44 |
$283.68 |
| 80051 |
|
34 |
34 |
$261.02 |
| J2001 |
Lidocaine injection |
172 |
130 |
$252.20 |
| 81015 |
|
74 |
74 |
$235.98 |
| J0456 |
Azithromycin |
28 |
26 |
$231.65 |
| 83516 |
|
25 |
25 |
$213.85 |
| 87147 |
|
13 |
13 |
$186.03 |
| 82950 |
|
28 |
28 |
$175.10 |
| 87210 |
|
26 |
26 |
$156.48 |
| 87205 |
|
38 |
36 |
$155.86 |
| 87070 |
|
13 |
13 |
$154.96 |
| 0450 |
|
12 |
12 |
$153.34 |
| A4217 |
Sterile water/saline, 500 ml |
25 |
25 |
$150.15 |
| 85018 |
|
65 |
65 |
$142.20 |
| J2060 |
Lorazepam injection |
42 |
38 |
$136.52 |
| 83001 |
|
12 |
12 |
$135.00 |
| 36415 |
|
4,518 |
4,101 |
$132.90 |
| J3010 |
Fentanyl citrate injection |
32 |
30 |
$130.77 |
| 87427 |
|
13 |
13 |
$128.44 |
| 84146 |
|
12 |
12 |
$120.00 |
| 83014 |
|
14 |
14 |
$117.36 |
| 82553 |
|
12 |
12 |
$110.35 |
| 85045 |
|
28 |
26 |
$102.68 |
| 85014 |
|
47 |
47 |
$101.91 |
| 87177 |
|
14 |
12 |
$101.83 |
| 84403 |
|
12 |
12 |
$81.12 |
| 87340 |
|
28 |
28 |
$58.50 |
| A9579 |
Gad-base mr contrast nos,1ml |
13 |
13 |
$50.22 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
27 |
18 |
$43.80 |
| J2704 |
Inj, propofol, 10 mg |
28 |
27 |
$39.78 |
| 87046 |
|
13 |
13 |
$37.96 |
| J2250 |
Inj midazolam hydrochloride |
36 |
35 |
$20.61 |
| J2175 |
Meperidine hydrochl /100 mg |
16 |
16 |
$4.83 |
| G8979 |
Mobility goal status |
26 |
26 |
$0.00 |
| G8978 |
Mobility current status |
13 |
13 |
$0.00 |